AHRQ Patient Safety Network

The Collection > General Internal Medicine

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Safety Target

•Device-related Complications (51)

•Diagnostic Errors (49)

•Identification Errors (28)

•Discontinuities, Gaps, and Hand-Off Problems (246)

•Fatigue and Sleep Deprivation (35)

•Medication Safety (356)

•Medical Complications (229)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (69)

•Transfusion Complications (9)

•Psychological and Social Complications (63)

Origin/Sponsor

•Africa (2)

•Asia (20)

•Australia and New Zealand (45)

•Europe (248)

•North America (1145)

Resource Types

•Audiovisual (20)

•Award (7)

•Book/Report (112)

•Clinical Guideline (1)

•Journal Article (1059)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (175)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (24)

•Web Resource (27)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (397)

•Active Errors (170)

•Latent Errors (100)

•Near Miss (20)

Approach to Improving Safety

•Quality Improvement Strategies (358)

•Legal and Policy Approaches (166)

•Error Reporting and Analysis (426)

•Communication Improvement (385)

•Human Factors Engineering (140)

•Teamwork (96)

•Specialization of Care (102)

•Logistical Approaches (116)

•Culture of Safety (248)

•Technologic Approaches (249)

•Education and Training (255)

Clinical Areas
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General Internal Medicine

Target Audience

•Health Care Providers (821)

•Health Care Executives and Administrators (1150)

•Non-Health Care Professionals (568)

•Patients (125)

Setting of Care

•Hospitals (1261)

•Psychiatric Facilities (5)

•Residential Facilities (9)

•Ambulatory Care (184)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1456

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STUDY

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. Int J Med Inform. 2009;78(suppl 1): S69-S76.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

NEWSPAPER/MAGAZINE ARTICLE

Shakespeare was on target—don't be a borrower or lender.

ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.

STUDY

Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital.

Karapinar-Çarkit F, Borgsteede SD, Zoer J, Smit HJ, Egberts ACG, van den Bemt PMLA. Ann Pharmacother. 2009;43:1001-1010.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

NEWSPAPER/MAGAZINE ARTICLE

Survey shows recession has weakened patient safety net.

ISMP Medication Safety Alert! Acute Care Edition. January 14, 2010;15:1-4.

STUDY

Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.

Longhurst CA, Parast L, Sandborg CI, et al. Pediatrics. 2010;126:14-21.

STUDY

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.

Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

NEWSPAPER/MAGAZINE ARTICLE

How has the current economy affected patient safety?

ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.

STUDY

Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.

Rask K, Culler S, Scott T, et al. J Hosp Med. 2007;2:212-218.

STUDY

Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.

Hilmas E, Peoples JD. JPEN J Parenter Enteral Nutr. 2012;36(suppl 2):32S-35S.

MEASUREMENT TOOL/INDICATOR

2011 ISMP Medication Safety Self Assessment for Hospitals.

Horsham, PA: Institute for Safe Medication Practices; April 2011.

NEWSPAPER/MAGAZINE ARTICLE

Safe practice environment chapter proposed by USP.

ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

COMMENTARY

Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.

Melnyk BM. Nurs Adm Q. 2012;36:127-135.

STUDY

The effects of a 'discharge time-out' on the quality of hospital discharge summaries.

Mohta N, Vaishnava P, Liang C, et al. BMJ Qual Saf. 2012;21:885-890.

MULTI-USE WEBSITE

Aware in Care.

Miami, FL: National Parkinson Foundation; October 2012.

STUDY

He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.

Phipps E, Turkel M, Mackenzie ER, Urrea C. Jt Comm J Qual Patient Saf. 2012;38:127-134.

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